Hepatic Artery Variations Analyzed in 1141 Patients Undergoing Digital Subtraction Angiography

Abstract Background: The hepatic artery has several variations that can be observed by digital subtraction angiography (DSA). In recent years, clinical studies have continued to explore its diversity, leading to the discovery of rare variations and the development of new classifications.Methods: Institutional Review Board approval was attained. This retrospective study was based on analysis of DSA images in 1141 patients who were pathologically or clinically diagnosed with liver tumor from May 2015 to December 2019. All patients involved in this study had undergone hepatic arteriography at our hospital. The study aimed to complete angiographic assessments of the left gastric artery (LGA), superior mesenteric artery (SMA) and HA, which supply the liver parenchyma. Results: It was worth mentioning that we found five new cases of hepatic artery variations. The four major types of hepatic artery anatomy were identiﬁed. Normal hepatic artery anatomy was pointed in 871 (76.3%) of 1141 patients, and the incidence of hepatic artery variation was 270 (23.7%) cases. Variation in hepatic artery origin was identiﬁed in 240 (21.1%) cases. Variation in bifurcation was identiﬁed in 18 (1.6%) cases. Three (0.5%) cases had synchronized bifurcate and variation of origin, which has not been reported previously. Conclusion: Hepatic artery variation have diversity and complexity. The known and newly is covered variations were thoroughly analyzed in detail, which has important clinical significance for hepatobiliary surgeries and interventional operations.

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Cervical 3 to Cervical 6 Laminectomy for Arteriovenous Malformation: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opz244 ◽

2019 ◽

Vol 17 (5) ◽

pp. E200-E200

Author(s):

Benjamin K Hendricks ◽

Robert F Spetzler

Keyword(s):

Arteriovenous Malformation ◽

Surgical Resection ◽

Video Recording ◽

Institutional Review Board ◽

Digital Subtraction ◽

Pia Mater ◽

Institutional Review Board Approval ◽

Institutional Review ◽

Complete Obliteration ◽

System 1

Abstract According to the Spetzler spinal cord classification system,1 this patient had an extradural-intradural arteriovenous malformation (AVM), also known as a type III or juvenile AVM. The patient underwent a surgical resection of the lesion via a cervical 3 to cervical 6 laminoplasty. Direct observation confirmed intra- and extramedullary components. During the surgical resection, an attempt was made to avoid transgressing the pia mater. Therefore, the traversing vessels were interrupted during the circumdissection. The nidus was removed, and postprocedural digital subtraction angiography confirmed complete obliteration. The patient gave informed consent for surgery and video recording. Institutional review board approval was deemed unnecessary. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

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Accessory Left Gastric Artery from Left Hepatic Artery Shown on MDCT and Conventional Angiography: Correlation with CT Hepatic Arteriography

American Journal of Roentgenology ◽

10.2214/ajr.05.1114 ◽

2006 ◽

Vol 187 (4) ◽

pp. 1002-1009 ◽

Cited By ~ 17

Author(s):

Kousei Ishigami ◽

Kengo Yoshimitsu ◽

Hiroyuki Irie ◽

Tsuyoshi Tajima ◽

Yoshiki Asayama ◽

...

Keyword(s):

Hepatic Artery ◽

Left Gastric Artery ◽

Gastric Artery ◽

Left Hepatic Artery ◽

Conventional Angiography ◽

Hepatic Arteriography ◽

Ct Hepatic Arteriography

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The Features of Extrahepatic Collateral Arteries Related to Hepatic Artery Occlusion and Benefits in the Transarterial Management of Liver Tumors

Radiology Research and Practice ◽

10.1155/2013/535272 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6

Author(s):

Lin Yang ◽

Xiao Ming Zhang ◽

Yong Jun Ren ◽

Nan Dong Miao ◽

Xiao Hua Huang ◽

...

Keyword(s):

Hepatic Artery ◽

Liver Tumors ◽

Left Gastric Artery ◽

Artery Occlusion ◽

Gastric Artery ◽

Collateral Arteries ◽

Hepatocellular Carcinomas ◽

Collateral Artery ◽

The Common ◽

The One

Purpose. To investigate the extrahepatic collateral arteries related to hepatic artery occlusion (HAO) and to determine its benefits in the transarterial management of liver tumors.Methods and Findings. Eleven patients (7 hepatocellular carcinomas, 3 liver metastases, and 1 with hemangioma) with HAO confirmed with digital subtraction angiography (DSA) were admitted to our hospital. Of the 11 patients, 7 were men and 4 were women, with an average age of 41.5 ± 15.5 years (range: 29 to 70 years). DSA was performed to evaluate the collateral routes to the liver. In the 11 patients with HAO, DSA showed complete occlusion of the common hepatic artery in 9 patients and the proper hepatic artery (PHA) in 2 patients. Extrahepatic collateral arteries supplying the liver were readily evident. The collateral arteries originated from the superior mesenteric artery (SMA) in 8 patients, from the gastroduodenal artery in 2 patients, and from the left gastric artery (LGA) in 1 patient. Transcatheter treatment was successfully performed via the collateral artery in all patients except the one who had hemangioma.Conclusions. DSA is an effective method for detecting collateral circulation related to HAO and may provide information to guide transcatheter management decisions.

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Reporting Institutional Review Board Approval and Patient Consent

JAMA ◽

10.1001/jama.1997.03550060053031 ◽

1997 ◽

Vol 278 (6) ◽

pp. 477 ◽

Cited By ~ 1

Author(s):

Carin M. Olson

Keyword(s):

Institutional Review Board ◽

Institutional Review Board Approval ◽

Institutional Review ◽

Patient Consent

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The Mobile Thriving Respite With and for the Street Community

Journal of Humanistic Psychology ◽

10.1177/00221678211046757 ◽

2021 ◽

pp. 002216782110467

Author(s):

Robert McInerney ◽

Kelsey Long ◽

Rachel Stough

Keyword(s):

Lived Experiences ◽

Institutional Review Board ◽

Short Term ◽

Community Based ◽

Bearing Witness ◽

Institutional Review Board Approval ◽

Institutional Review ◽

Emergent Strategy ◽

The Creation ◽

Theoretical Foundations

We report on our work with the street community of Pittsburgh, specifically, a community-based action initiative we call the Mobile Thriving Respite (Institutional Review Board approval was obtained from our university). For 5 years, student advocate ethnographers from Point Park University have gathered data (e.g., long- and short-term interviews, participant-observations generating fieldnotes). The data revealed and supported the need for thriving beyond surviving homelessness. The data endorsed the creation of the mobile thriving respite. In the first part of this work, we will discuss some critical concepts regarding homelessness as a phenomenon and then argue that while surviving as enduring is necessary, there are some for whom survival is a perpetual, lethal state of being. We will discuss the theoretical foundations to the respite and offer researchers’ ethnographic accounts of the respite’s process and progress (We had to temporarily end the respite during the Covid-19 pandemic. To date, the respite has returned with “pop up” events outside at various locations). We will outline how the mobile thriving respite is a praxis as site of resistance as well as an emergent strategy, and an instantiation of communitas. We will then revisit surviving as collectively bearing witness and testifying to the lived experiences of those living outside.

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Arterial diameter of the celiac trunk and its branches: anatomical study

Acta Cirurgica Brasileira ◽

10.1590/s0102-86502009000100009 ◽

2009 ◽

Vol 24 (1) ◽

pp. 43-47 ◽

Cited By ~ 28

Author(s):

Luís Augusto da Silveira ◽

Fernando Braga Cassiano Silveira ◽

Valéria Paula Sassoli Fazan

Keyword(s):

Hepatic Artery ◽

Celiac Trunk ◽

Anatomical Study ◽

Anatomical Variations ◽

Left Gastric Artery ◽

Gastric Artery ◽

Arterial Diameter ◽

Significant Difference ◽

Diameter Reduction ◽

Formalin Fixed

PURPOSE: Despite the fact that anatomical variations of the celiac trunk are well explored in the literature, information on these vessels diameters is scanty. The aims of the present study were to describe the arterial diameters of the celiac trunk and its main branches, and to investigate if these diameters are altered in those cases presenting anatomical variations of these vessels. METHODS: Twenty-one formalin fixed adult male cadavers were appropriately dissected for the celiac trunk identification and arterial diameter measurements. Arteries measured included the celiac trunk and its main branches (splenic artery, left gastric artery and common hepatic artery), as the proper hepatic artery, right gastric artery, the left and right hepatic arteries and the gastroduodenal artery. RESULTS: From the 21 cadavers, 6 presented anatomical variations of, at least, one of the above mentioned branches. The average arterial diameter comparisons between groups (normal and variable) clearly showed smaller diameters for variable vessels, but with no significant difference. CONCLUSION: Our data indicates the possibility of a diameter reduction of the celiac trunk main branches in the presence of anatomical variations. This should be taken into account on the selection for the liver transplantation donors.

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Bone Mineral Density in Gravida: Effect of Pregnancies and Breast-Feeding in Women of Differing Ages and Parity

Journal of Osteoporosis ◽

10.1155/2014/897182 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 5

Author(s):

Ehud Lebel ◽

Yuri Mishukov ◽

Liana Babchenko ◽

Arnon Samueloff ◽

Ari Zimran ◽

...

Keyword(s):

Bone Mineral Density ◽

Bone Mineral ◽

Institutional Review Board ◽

Mineral Density ◽

X Ray ◽

Normal Limits ◽

Institutional Review Board Approval ◽

Institutional Review ◽

History Of ◽

Breast Fed

Changes of bone during pregnancy and during lactation evaluated by bone mineral density (BMD) may have implications for risk of osteoporosis and fractures. We studied BMD in women of differing ages, parity, and lactation histories immediately postpartum for BMD,T-scores, andZ-scores. Institutional Review Board approval was received. All women while still in hospital postpartum were asked to participate. BMD was performed by dual-energy X-ray absorptiometry (DXA) machine at femoral neck (FN) and lumbar spine (LS) by a single technician. Of 132 participants, 73 (55.3%) were ≤30 years; 27 (20.5%) were primiparous; 36 (27.3%) were grand multiparous; 35 (26.5%) never breast fed. Mean FNT-scores andZ-scores were higher than respective mean LS scores, but all means were within the normal limits. Mean LST-scores andZ-scores were highest in the grand multiparas. There were only 2 (1.5%) outliers with lowZ-scores. We conclude that, in a large cohort of Israeli women with BMD parameters assessed by DXA within two days postpartum, meanT-scores andZ-scores at both the LS and FN were within normal limits regardless of age (20–46 years), parity (1–13 viable births), and history of either no or prolonged months of lactation (up to 11.25 years).

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